Deck 10: Professional Development

Question 1

You are the nursing supervisor on the 11 PM to 7 AM shift.When making rounds, the charge nurse on the unit reports that one of the patients is dyspneic.What action would be expected from a nurse in the expertise stage of clinical competence when assessing shortness of breath in a patient?

A)Recognizes the patient may have pulmonary edema and orders (or asks the physician for an order) an IVP diuretic
B)Places a patient complaining of shortness of breath in high-Fowler's position after hearing coarse crackles and rhonchi and obtaining a pulse oxygenation of 88%
C)Increases the oxygen concentration
D)Notifies the instructor of the patient's complaints

Answer 1

Recognizes the patient may have pulmonary edema and orders (or asks the physician for an order) an IVP diuretic

Question 2

The nurse's progression from novice to expert is usually encouraged by the organizations for which they work.Which of the following is an example of a method used to encourage nurses to progress in their level of experience?

A)Rotating nurses to all shifts
B)Rotating nurses into the ICU
C)Quarterly Nursing Excellence awards
D)Tuition reimbursement for advanced degrees

Answer 2

Quarterly Nursing Excellence awards

Question 3

You are the charge nurse on a busy medical-surgical unit.You are also the preceptor to a novice nurse.What response would be expected from a nurse in the novice stage of clinical competence development when assigned to perform a morning assessment on a patient?

A)Nurse uses Doppler to obtain pulses on a patient with no palpable peripheral pulses
B)Reporting to the charge nurse that they cannot feel a patient's peripheral pulses and the blood pressure is only palpable
C)Nurse calls for help when she finds the patient with barely palpable blood pressure and hard to arouse
D)Reporting to the charge nurse that she decided to let the patient sleep until the breakfast trays arrive because the patient was sleeping so soundly

Answer 3

Reporting to the charge nurse that she decided to let the patient sleep until the breakfast trays arrive because the patient was sleeping so soundly

Question 4

You are the charge nurse on the 3 PM to 11 PM shift.The nurses on this shift range from novice to competent.What response would be expected in the beginner stage of clinical competence development when the nurse is assigned a patient on beta-blockers and scheduled for a stress test?

A)Knows to hold a beta-blocker on a patient scheduled for a stress test because this happened earlier in the week on another patient
B)Must be told to hold the beta-blocker for a patient scheduled for a stress test
C)Understands the rationale for holding the beta-blocker prior to a stress test
D)Holds all medications when the patient is NPO

Question 5

The clinical ladder used in some hospitals allows for recognition of both the clinical and academic growth of the individual nurse.On which of the following is this ladder based?

A)The concept that people will work harder when recognized
B)The concept that nurses respond to harder work
C)The concept of growth in nursing from novice to expert
D)The concept that nurses like to be intellectually stimulated

Question 6

You are the nurse manager who is preparing the annual reviews for the staff members.You are aware that the nurse in the competent stage of clinical performance development would be expected to do what when assigned a patient on beta-blockers scheduled for a stress test?

A)Must be told to hold the beta-blocker for a patient scheduled for a stress test
B)Holds all medications when the patient is NPO
C)Calls the physician for an order to hold the beta-blocker prior to a stress test if there is no order
D)Repeats behavior learned from a previous experience

Question 7

You are the nurse educator on a medical unit.What action would be expected from a nurse in the proficient stage of clinical competence when assessing shortness of breath in a patient?

A)Increases the oxygen concentration on a patient complaining of shortness of breath
B)Places a patient complaining of shortness of breath in high Fowler's position after hearing coarse crackles and rhonchi and obtaining a pulse oxygenation of 88%
C)Checks the oxygen saturation
D)Calls the physician to notify her of the patient's change in condition

Question 8

Clinical ladders for nurses are best used in what circumstance?

A)Horizontal advancement for clinicians who wish to stay at the bedside
B)Vertical advancement for management responsibilities
C)Horizontal ladder for nurses with more than 10 years of employment
D)Vertical ladder for nurses with more than 10 years of employment